Medical school: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated: 1997
NPI: 1013044056
Practice Locations (1)
COLORADO PERMANENTE MEDICAL GROUP PC
12249 PINE BLUFFS WAY, KAISER PERMANENTE PARKER MEDICAL
PARKER, CO 801344428
3033384545
Source: CMS National Downloadable File, September 2026.